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z ,I <br /> 'ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION OFFICE USE ONLY <br /> OWNER NAME <br /> KEv I� ♦ SEr.,,,)W - Z'u LSE-T 1 oning District <br /> OWNER ADDRESS (Number,Street,City,State,Zip) <br /> 105 I Terri 3 4 97R, 6.T V *i,ror1T W I ` 358q Pe miffed Use <br /> PHONE E-MAIL ADDRESS <br /> (oog)212— 513 Z 0 Zoning Status,CUP; 4—� <br /> A <br /> ii <br /> GENT INFORMATION I CONTRACTOR INFORMATION Deed Restriction?CSM <br /> AGENT NAME CONTRACTOR NAME <br /> CH w5 m Al- coas'r. LI,� <br /> r,rc I -A GE NTT' Varian,..___ ).,. <br /> AGENT ADDRESS CONTRACTOR ADDRESS <br /> itE Plan drawn to scale <br /> 31810 ki NNEY 'RV- <br /> �rtdincludes dimensions �.,> <br /> (City,State,Zip) (City,State,Zip) / i �( <br /> Caffac- Grz cI W• 5 5 Zf I3 it Plan including location_ _T <br /> PHONE PHONE of welUSe tic <br /> (off Es-)--) —13 Colo <br /> backsE-MAIL ADDRESS <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> ''''11' <br /> l � ite Plan approval from <br /> PARENT PARCEL NUMBER: f� ZONING: ACREAGE: <br /> U PARCEL I fl- 'BEER: • 326,0 . 1 : Ac+e-�� appllcabie townstup " <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> �• t4:Attral Addf <br /> r 'mil ,.-j SPR ��G ��4: t,41�4: (tnewI is r)e # <br /> ADDRESS: "'' { <br /> Zo i `T c2 'DR- 'crv6+-rr'o,.J, w I 535 ` <br /> fii,-- , plan o s a <br /> CSM: LOT l SUBDIVISION BLOCK/LOT <br /> PROPOSED PROJECT INFORMATION frontage r �r 'BTt}I <br /> #rcntage tf raven oca le <br /> PROJECT DESCRIPTION: <br /> �.rt"" r� 1 <br /> a.U I.i.12 `- R reway permits- <br /> This project is a new building or structure. (state,county, !n) ' <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: Tbi a eRnitS <br /> /' (pu pt va , <br /> ❑SEWER SEPTIC 5 I-)95 W <br /> HEIGHT IN FEET /�/I NUMBER OF STORIES: (Not including basement) t land�oodplai <br /> V ra <br /> il <br /> SJ�o'fel�ti���att��ntj <br /> AR A TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) rosioii.e trol.permit _' <br /> BASEMENT �g 1ST L0Da 5 /- 4, TOTAL SQUARE FOOTAGE l (SJ �S e� . <br /> L O /l/ ��Cl fittltg4t- ='. <br /> 2ND FLOOR: S.p,7f1Lf'1 OR: <br /> sr 510 G4RAC.E ?I'2.. 5159 Z,r a� <br /> Dr-eK view Lattctn Survey <br /> ESTIMATED CONSTRUCTION COST: $ oo 0-'11 and:availab options j <br /> (Please round to nearest dollar) <br /> "-� ♦ ♦ ♦ "� "� l � <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes No ❑Don't know <br /> 2. There is a wetland or floodplain on or near the property? <br /> CI Yes j2 No ❑Don't know <br /> 3. Have you talked with the township about your project? . Yes Cl No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? LI Yes 'No <br /> 5. This project is associated with a rezone/CUP/variance(petition/appeal# ) (leave blaannkrif none) <br /> 6. Is a location survey required? ❑Yes 1�1 No ❑Don't know <br /> 7. Is this correcting a violation? ❑Yes )4No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ♦ -► <br /> 545-112(1)081 <br />